VAERS ID: 2177143

AGE: 6| SEX: M|STATE: CA (United States)

Description

1st dose of Pfizer Covid vaccine received on December 2, 2021. 2nd dose of Pfizer Covid vaccine received on December 23, 2021. After 3 weeks of 2nd dose (around January 13, 2022), we (parents) noticed patient's aggressive hair fall. After the 2nd Covid shot, the vaccine triggered his underlying condition (alopecia arreata) and after the immense weekly hair fall, it has caused complete - ABSOLUTE - hair loss and balding within 1.5 months (mid January-February 2022). This had NEVER HAPPENED BEFORE.

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Symptoms

White blood cell count normal, Laboratory test, Haemoglobin decreased, Alopecia areata, Red blood cell count normal, Blood thyroid stimulating hormone normal, Thyroxine free

Vaccines

VAX DATE: 12-23-2021| ONSET DATE: 01-13-2022| DAYS TO ONSET: 21
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FK5127 SYR RA
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FK5618 SYR RA

RECVDATE:03-12-2022
RPT_DATE:
CAGE_YR:6
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Feb 2022 TSH 2.68 UIU/ML Free T4 1.08 NG/DL White Cell Count 5.8 Red Blood Cell Count 4.33 Hemoglobin 11.2 For complete medical tests and laboratory results, please contact his pediatrician
V_ADMINBY:PUB
OTHER_MEDS:
CUR_ILL:
HISTORY:Alopecia Arreata
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:03-12-2022
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:Pollen
V_FUNDBY:

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